Active NPI
Dana Bolton, RPH
- Pharmacist
- Brockport, NY
National Provider Identifier
1194048694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048260
- Practice address
- 6660 Fourth Section Rd
Brockport, NY 14420-2448 - Phone
- (585) 637-6855
- Fax
- (585) 637-7848
- NPI assigned
- Mar 11, 2010
- Last updated
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048260 | NY | Primary |
Addresses
Primary practice location
6660 Fourth Section Rd
Brockport, NY 14420-2448
Mailing address
6660 Fourth Section Rd
Brockport, NY 14420-2448
Phone (585) 637-6855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048260 | Other | NY | PHARMACIST LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048260 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1194048694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6660 FOURTH SECTION RD",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202448",
"telephone_number": "585-637-6855",
"fax_number": "585-637-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6660 FOURTH SECTION RD",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202448",
"telephone_number": "585-637-6855",
"fax_number": "585-637-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "DANA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE #",
"identifier": "048260",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.